Transcript Slide 1

Public Health
“The science and art of
promoting and protecting health
and well-being, preventing ill-health
and prolonging life through the
organised efforts of society.”
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A matter of
civic pride?
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Sandwell – a healthy town
• Sandwell is a member of
the UK Healthy Cities
Network
• World Health
Organisation supported
network
• Full Council commitment
to ensuring health and
health equity in ALL
policies
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Integrating public health
• Council leads on wider determinants that
impact on health
• Public health brings knowledge, skills and
experience and resource to support and
add to the work of the council
– Use of information and research
– Support for priority setting and risk
stratification
– Assessing plans and policies for health
impact
– Staff, budgets and services
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History of working together
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Housing & health strategy
Adult social care joint investment in telecare
Joint work on children’s services
Joint drug & alcohol strategies
Environmental protection and tracking
Sandwell Healthy Urban Development Unit
Public health contributions to scrutiny reviews
Research Sandwell
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The 3 domains of Public Health
• Health improvement
– Health promotion
– Lifestyle services
– Tackling the wider influences on health
• Health and social care related public health
– Specialist advice for council & the NHS
– Public health needs analysis
– Assessment of the effectiveness of care & services
• Health protection
– Emergency response
– Infectious diseases
– Environmental threats
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Mandated public health services
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Health protection and emergency planning
Measurement of children’s weight
Sexual health services
NHS health checks
Public health ‘core offer’ to clinical
commissioning groups for healthcare related
public health
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Public health outcomes framework
“To improve and protect the
nation’s health and wellbeing and
improve the health of the poorest
fastest”
•Increased healthy life expectancy
•Narrow the gap in life expectancy
and healthy life expectancy
between communities
Health Premium
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Joint Health & Wellbeing Strategy
6 Marmot high level objectives
+ 1 local
• “Ensure people receive the care and
support they need across the whole life
course”
• Includes older people & end of life
JHWS refresh - HWBB 4 key priorities for the
next 2 years
• Early years & adolescent health
• Long term conditions / integrated care
• Frail elderly & dementia
• Alcohol
Marmot Indicators
Age
Life expectancy & disability free life expectancy at birth,
by neighbourhood income level, England and Sandwell 1999-2003
Neighbourhoods by income deprivation (population percentiles)
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Life expectancy for males and females,
Sandwell and England and Wales, 2000-2010
Building on success in Sandwell
• Life expectancy increasing faster than national rate
(narrowing the gap)
• Teenage pregnancy reducing faster than national
rate
• Healthcare acquired infections significantly reduced
– MRSA close to zero
– C diff down by over 30%
• Brief interventions for alcohol doubled
• Deaths from fractured hips down by 20% in 5 years
• Breastfeeding rates increased by 10% from 2010-11
• Drug related burglaries reduced by over 5000 since
2004
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Many remaining challenges
• Life expectancy and healthy life
expectancy still too low
• Lifestyles poor – obesity, smoking,
alcohol
• Poor mental well being
• Ageing population
• Rising poverty
Sandwell Public Health Structure 2014
Director of Public Health - Chief Officer
Consultant in Public
Health - Disability Free
Consultant in Public
Health - Life
Expectancy
Consultant in Public
Health (Shared with
Birmingham) CCG
Employee
Consultant in Public Health
Life Expectancy
HAY Grade
Children and Maternity
Improvement Programme
Manager
NHS Band 8b
Early Years
Project Manager
NJC Grade H
Nurse Consultant Infection Prevention
NHS Band 8c
Community Infection
Prevention Nurse and
Care Home Lead
NHS Band 7
Adult Health
Improvement
Programme Manager
NJC Grade I
Adolescent Years
&Vulnerable Children’s
Project Manager
(624 years)
NJC Grade H
Nurse Consultant - Health
Protection
NHS Band 8c
'Resilience Officer
(Public Health)
Health and Wellbeing
Strategy & Delivery
Manager
NJC
Grade I
NJC Grade F
Wellbeing
Project Manager
NJC Grade H
Community Infection
Prevention
Advisor
NHS Band 6
Community Infection
Prevention
Advisor
NHS Band 6
Frail Elders
Project Manager
NJC Grade H
Social
Determinants
Project Officer
NJC Grade H
Vulnerable Adults
Project Manager
NJC Grade H
Consultant in Public Health
Disability Free Life Expectancy
HAY Grade
Lifestyle Improvement
Programme Manager
NJC Gade I
Communications
Project Manager
NJC Grade F
Lifestyles and
Uptake Project
Manager
NJC
Grade F
Lifestyles and
Uptake Officer
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NJC
Grade C
Substance misuse
(Drugs& Alcohol) and
Sexual
Health
Programme Manager
NJC Grade I
Obesity - Physical Activity
and Tobacco Programme
Manager
NJC Grade I
Alcohol Project
Manager
NJC Grade H
Physical Activity
Project Manager
NJC Grade H
Drugs Prevention
Project Manager
NJC Grade H
Food and Nutrition
Project Manager
NJC Grade H
Sexual Health
Project Manager
NJC Grade H
Adult and Childrens
Weight
Management
Project Manager
NJC Grade H
Lifestyles
Apprentice
(supernumary)
Senior
Procurement &
Market
Development
Manager
NJC Grade I
Senior Contracts
and Procurement
Officer X2 NJC
Grade G
Healthy Urban
Environment officer
NJC Grade H
Tobacco Control
Project Manager
NJC Grade H
CONSULTANT in PUBLIC HEALTH
(SHARED WITH BIRMINGHAM)
CCG EMPLOYEE
Public Health Intelligence
Programme Manager
NHS Band 8b
Senior Information
Analyst
NHS Band 7
Information Analyst
NJC Grade E
Senior Information
Analyst
NHS Band 7
Information Analyst
NJC Grade E
Senior Information
Analyst
NHS Band 7